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Individual

PATRICK STEPHEN COOPER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
449 ALLENBY DR, MARYSVILLE, OH 43040-8722
(937) 642-4400
(934) 642-4443
Mailing address
449 ALLENBY DR, MARYSVILLE, OH 43040-8722
(937) 642-4400
(934) 642-4443

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3184
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2326067
OH
Enumeration date
07/12/2006
Last updated
07/08/2007
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